HomeMy WebLinkAboutBUILDING PERMIT 16-719 DATE TIME
CITY OF PRIOR LAKE SCHEDULED
INSPECTION NOTICE 2,44*,9 1 _________
ADDRESS 3 t •
CONTR.
OWNER
PERMIT NO. r�
PHONE NO.
0 PLUMBING RI ❑ GRADIFILLING
❑ FOOTING 0 MECH RI 0 COMPLAINT
❑ FRAMING 0 WATER HOOKUP
❑ FOUNDATION 0 FIREPLACE RI
CI ❑ FIREPLACE FINAL
INSULATION ❑ SEWER HOOKUP
c.p�FINAL 0 PLUMBING FINAL 0 IREPLA AIR TSL
V0
0 0 MECH FINAL
SITE INSPECTION
COMMENTS: !ice'
PAW
IIIIMillafflina Ade
viti WORK SATISFACTORY,PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRE ,i-K,CALL FOR REINSPECTION BEFORE COVERING
IOwner/Contra
Inspector: r l
CALL♦ 7-9850 FOR THE NEXT INSPECTION 24 HOURSHFETY1
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEAL
INSNOTI
4 PR/0
ti CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
—, B TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
4.lNNBSQ'S
1. White File PERMIT NO. 1 1 t/
2. Pink City (ti
I Yellow Applicant
ase type or print and sign at bottom)
DRESS ZONING(office use)
1L13i3 Uuk k,� � � � J ) Pybv�Ye, w►N ss31 L
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER „�1 (Col 2
(Name) ..A 4 4evll Ceti 1. 10. s.\J.f. (Phone) VI1 Z' �- 10332—
(Address) (4'2J i)celr1--4-& \ V6 4"4DY L01 . fl) g'577.1._
BUILDER `- /�
(Company Name)' ?O f 1 AdYikL ,MO/M)eW ilk l OM1 (Phone) nt-SS1" 21t
(Contact Name) KV\CL.V%, VOYW.en, I it 1
(Address)2)00 ko vet w.ske X25, �� N ,S
PIA) ''
TYPE OF WORK 0 New Construction ['Deck ['Porch ['Re-Roofing ORe-Siding ['Lower Level Finish 0 Fireplace
❑Addition ❑Alteration ['Utility Connection
CODE: ❑LR.C. ❑LB.C. ❑Misc: �Q C��2 � .JJ\I/1diOL
Type of Conslnution: I II III IV V A B
cupancy Group: A B E F H I M R S U PROJECT COST/VALUE $ f Soa
lionst
on: 1 2 3 4 5 (excluding land)
I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authorized agent for the
above-mentioned property and that all construction will conform •all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
official . revoke this permit for just , . Furthermore,I. • agree that the city official or a designee may enter upon the property to perform needed inspections.
$C-.5bk4(6b Co—z)4 t
Si Contractor's License No. Date
Permit Valuation Park Support Fee # $
Permit Fee $ SAC # $
Plan Check Fee $ Water Meter Size 5/8"; 1"; $
State Surcharge $ Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer&Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DUE $
This Application Becomes Your Building Permit When Approved Paid Receipt No.
Date By
Building Official Date
is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy,a Certificate of Occupancy must be
d.
Planning Director Date Special Conditions,if any
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372